After Anwar’s episode from my docuseries The Bumpinator, we received many questions. Here is one of them. In this episode, I answer a question from Marisol in Mexico about whether Acne Keloidalis Nuchae can start with small bumps and gradually spread, the same question stated in the title. AKN commonly begins with small early bumps that may seem harmless. If ignored, these bumps can spread, thicken, and lead to scarring. In this video, I brought up James, whose condition worsened because early signs were ignored. This reinforces why early recognition matters. The beginning stage is the best time to manage AKN and prevent long term progression. If you have a question for me, leave it in the comments below. More viewer questions will be featured soon. Watch the full episode on our channel. #AcneKeloidalisNuchae #FolliculitisDecalvans #HeadPimples #Bumps #BumpsThatBurst Dr. Umar Hair & Skin Clinic located in Manhattan Beach, CA